I keep writing blogs about this topic and not publishing or deleting once published, for what I like to think of as a variety of reasons, but ultimately it’s just one. Fear. I made very tentative steps early in the pandemic which resulted in a loss of friends, although it blew up so quickly I didn’t get a chance to define “gender struggles” and they don’t know the true impact of their words. I am sure if they ever read this blog it would be a shock to them.
[image description – photo of a crowd of people of all shapes, abilities and sizes, all silhouettes ]
Then there is also my personal experience of advocating for my friends under transgender umbrella (which is inclusive of non-binary, gender fluid, non-conforming, agender and many more identities). It has met with prejudice and ignorance from people I know to be loving. My fear of rejection grew. I could fight for others but could not even recognise let alone fight for myself.
I was also fighting my own ingrained transphobia, which we all carry with us, no matter who we are. I thought transition might be necessary, until I read further and experienced testimonials from others that I realised it was about my own identity, not the identity which is imposed on me.
It was only when I read the wonderful book “Disability Visibility” curated by Alice Wong that the thunderbolt hit me and my truth was confirmed to me. I stopped doubting myself; I have had dysphoria for years since developing epilepsy age 12 almost to the day that I also started puberty. The two were entwined from the outset, and as I have got older I have had more diagnoses of different conditions which create a disabling effect with regard to enabling me to engage fully in society. That’s the difference, as far as I am concerned. Some are disabled by society, some are enabled. There is no abled.
I have always identified myself as cisgender as I am AFAB (assigned female at birth) and I assumed the entirety of my body dysmorphia was due to my myriad chronic and disabling conditions. However, looking back, I see my history. I first identified as gender non-conforming on Facebook about seven years ago but changed it back not long after as I did not want to be seen as appropriating a term; I was still confused. I joined groups, I researched, I’ve been an intersectional feminist for as long as I have been an activist, so I did this at first as an attempt to be an ally. The more I understood the more I enlightened myself and the more I realised that, actually, this is me. My cisgender identity was something I thought I was because I didn’t know myself well enough yet.
When I admitted that truth to myself all I felt was a tremendous sense of relief. A burden of performative womanhood was lifted, a burden I didn’t even realise I was carrying. I held up so many barriers to my true self – it’s my disabling/chronic conditions, it’s my shame of self, it’s my rejection of my body, I’m too old, I’m appropriating, I’m an identical twin, I’ve spent years fighting to be accepted as a woman on equal terms (despite never believing in the gender binary), I’m a tomboy, I just prefer trousers, and even then I was still conforming to the gender role I believed I inhabited.
Through joining groups and talking to people I’ve learned my experience is not uncommon. So many older people are struggling with this, with the years of indoctrination which hid their identity from themselves.
So now I do know, I am gender fluid. Sometimes I feel masculine, sometimes feminine. Sometimes I am not a woman, but I am not a man. I am AFAB but I am not cisgender. I’ve lived nearly half (hopefully) of my life performing a role so strongly that I didn’t even realise I was doing it.
This is not something I come to lightly. It has been years in the realisation. I’ve been wanting to open up for many months and have not felt able to, but now feels the right time. All that changes is my own identity, and my pronouns are now she/they. I would prefer they (for everyone) but am okay with she, as it is a big change for all who know me. This is not about how I am defined by others, which let to my cisgender definition. This is about how I define myself. I am gender fluid, I am she/they, and I am still the same person you have always known.
To all my readers (both of you) please be kind if commenting; this blog has been a long time coming. Years, in hindsight. I am still fearful but I am finally living my truth and that feels very good. This is me. I know it, and that is really all that matters.
More information:
UK
https://genderkit.org.uk/organisations/
https://www.beaumontsociety.org.uk/transgender-organisations.html
https://www.nhs.uk/live-well/healthy-body/how-to-find-an-nhs-gender-identity-clinic/
USA
https://www.glaad.org/transgender/resources
Global
https://globalresourcesreport.org/
https://www.verywellmind.com/best-online-transgender-support-groups-4800840
Glossary of Gender and Sexuality terminology:
http://thepbhscloset.weebly.com/a-list-of-genders–sexualities-and-their-definitions.html
I have now been shielding for ten months and one week. Not that I’m counting of course*cough315dayscough*, nor am I having to tick days off on a calendar just so I know what the day and date is. My hair is getting a life of its own, and I’m considering contacting Hagrid for a DNA test. I have dip-dyed hair colouring completely by accident. I don’t have to think about how I present to anyone and that’s very relaxing.
For the last month or so I have been feeling quite positive about my shielding experience. It is important to me to try and find the positives, to boost my mental health. So, as a lover of a good list, I made one. A list that is, I make no value judgement about its goodness:
- My CLL has improved.
- My pain levels are easier to manage.
- I can plan my life much better as there is little to plan.
- I am not letting anyone down by cancelling arrangements last minute.
- I don’t have to reject invites as I’m not allowed to accept any.
- I’ve benefitted and been humbled by so much kindness towards me.
- I’ve seen online shows and comedy I would not otherwise have been able to see.
- I’ve not had to worry about accessibility at all (for my osteoarthritis ).
- Despite not liking phone calls, I’ve made more than ever before, just to keep in touch.
- Introspection has led to positive breakthroughs for me.
That last one has had a profound effect on my mental health in a very beneficial way, see this blog.
The first one on that list was the biggest surprise. I have chronic lymphocytic leukaemia , and since October 2019 I have been told that my condition was very close to needing treatment to reduce lymph nodes and spleen swelling, reduce the white blood cell count and raise the haemoglobin. However, in January 2020 a new virus was starting to become known, and by 15th March I was in shielding. At that point my white blood cell count was 293. I was referred to a trial ending at the end of 2020 in the hopes that my treatment would be one of the new drugs being tested; there were already many positive results available for review by medical specialists in utilising the treatment.
At my first appointment in September it was made clear to me that my suspicions had been correct and the treatment was in part to be delayed because of the pandemic. Partly the overloaded NHS cannot cope, and partly because of the holistic view of my condition and my being shielding. It was clear by September that the pandemic was into a second phase (third now…) and there was a lot more for a specialist to consider deciding to go ahead with treating me. At this point I had taken myself into psychotherapy as I was not coping with the situation I was in.
By November 2020 my white blood cell count was 209 and all other counts had stabilised. The only thing that is different about my environment is that it is currently limited to being indoors at home. I assume the fact I am not being exposed to the everyday germs and pollutants that living in a city brings is the reason why, and in conversation with my specialists, so do they. I am not cured, but it means that my treatment can safely be delayed. The trial I was referred to has finished, but there may be a new one in November utilising a newer treatment which has fantastic results for my particular presentation of CLL. In case you are wondering how I know that, it’s because the US already has all these drugs available in its private healthcare system, and the EU has fantastic results from their tests too. We now have to do our own tests as we are not part of the EU so cannot licence those drugs without undergoing our own stringent testing too. However, we can know what the results are likely to be.
With CLL, it is the case that the longer treatment can be delayed, the better. It is a chronic condition so I can never be cured or go into remission as the term is understood with acute cancers. My condition can improve to the point it is almost undetectable, but I will always require constant monitoring. Most importantly, once you have undergone a treatment protocol, you cannot repeat it. The more types of treatment, the better. As I am considered very young to have been diagnosed with the condition (average age is in over 60s and I was 42, most diagnosed are AMAB (assigned male at birth) and I’m AFAB (assigned female at birth), there is a possibility that if I am treated too soon I may run out of forms of treatment to have. On the other hand, I may not. I’d rather play the long game and put off the treatment as long as I can!
Shielding has saved my life simply by protecting me from the covid virus. It may also be saving my life by helping my body deal with my leukaemia and delaying my need for treatment. Who knew that 10 months inside and counting would be such a positive thing for me?!
The nature of Chronic Lymphocytic Leukaemia is that it is a build-up of varying symptoms which eventually lead to a form of treatment, whereafter ideally one’s bloods and symptoms return to close to normal and then the whole roller-coaster starts again. The term remission is used for this period, but unlike other cancers, this remission will never lead to being cured. All it does is start the “active monitoring” AKA Watch & Wait, Active Surveillance or Watchful Waiting) phase again. I have been told for 11 months that treatment was imminent.
I have been referred to another Specialist who is running the new trials for upcoming forms of treatment, who I had been informed would determine which form of treatment I would be put on. After a year of “imminent” the surety was welcome and I was looking forward to the appointment.
After the meeting with the Specialist, having 12 test tubes of blood taken (I said they could have six extra to store in the tissue bank for medical testing/experimentation in order to help uncover future forms of treatment), and having sat around for two hours which did not do any favours for my chronic pain, I left the hospital. I promptly burst into panicked and heaving tears in the car ride home. My new Specialist, who was Registrar under my former Specialist, has now stated that he may not put me forward for treatment yet. It’s all up in the air again.
You may be reading this thinking, hang on a minute, she doesn’t need chemo straight away, what’s so bad about that? That is good news, surely? I understand that reaction, it is what my employers said to me. But that response doesn’t comprehend the mental preparation it takes to accept chemotherapy will be required and the fear of an uncertain future that cannot be planned when there is no firm course of treatment in place and the advice keeps changing from one hospital visit to the next.
Imagine you have been told that you will be needing chemotherapy, imminently, for 11 months. Imagine a pandemic happened which put your chemotherapy treatment off, not because it wasn’t needed but because it was too dangerous to give during the pandemic. Now imagine that after 11 months this advice is turned on its head and you are told that said treatment is required but that it will be delayed. Not yet, the Specialist says. Not yet, we must do more testing, you are young, and we don’t want you to start treatment if we can at all in any way delay it. Imagine the confusion this causes. Imagine never being able to plan more than the next appointment, four weeks, ahead. Imagine being told this whilst the pandemic is again worsening and we head towards winter, with its increase in colds, influenza and other transmittable diseases. Imagine knowing from experience how vulnerable you are to such things, and not knowing if you can get your usual vaccinations because you don’t know what or when chemotherapy may be advised. Imagine feeling the only safe space is shielded in your house, potentially for years. It’s been seven months already.
One of the side effects of my shifting situation and changing medical advice is that I am left feeling like everyone I have spoken to about my condition and the situation will see me as a liar. I’ve been told in the past that I exaggerate, make things up, must be wrong about my own experience, am attention-seeking, it is not the way people understand cancer to be so it must be untrue. I had the same thing happen when I talked about the side effects of medication I am on. I generally only write the absolute truth in my blog and am very reluctant to open up in person. People may think they know, but only m’Sooterkin™, parents and twin sister really do. Not only do I not feel I will be believed but I also don’t want to burden them. My mental health is constantly in flux. The conflicting advice I have received is from two Specialists who are both highly regarded in the field. One trained the other, and the other is a leading figure in research into the condition. I left that appointment fearful. I left knowing that I would be shielding until there is a vaccine for the coronavirus that has been taken up by most people in England, and until the pandemic is firmly under control. I left understanding the only reason I would be given treatment would be if the risk of death from CLL was worse than the risk of death from exposure to the virus.
Most people diagnosed with CLL are over 60.
There are a limited number of treatments that can be used with CLL and if you have been treated with one once you cannot be treated with the same treatment again. I was diagnosed at age 42. There is a possibility that if I start treatment now, I will run out of forms of treatment, although it’s hard to know as who knows how long I would return to watch and wait for after the first, second, third or fourth treatment. CLL is incurable, you can go into remission, but you will never be free of it. The leukaemia will be present for the rest of however long my life turns out to be.
I need to keep my employer updated even though I am working at home on reduced hours. I needed to adjust my thinking after this appointment, just to be able to cope with this constant state of unknowing and to try and convey that to those who are supporting me in this. I stopped thinking about treatment being “put off” or “delayed” and am trying to think of it as “pushing back” day by day, week by week, as long as possible until the Specialist decides it cannot be pushed back further. I am being monitored every four weeks.
When one has a chronic condition one is never cured, just maintained. We are fed the line that medical conditions and treatments are linear and chronological. We are diagnosed, we are assessed and treated, we are cured/in remission/dead. In reality that is not the experience of a person with a chronic condition, and it is so difficult to get out of that mindset. Even those of us living with chronic conditions find our minds stuck in that mentality. The ideal of the model of an illness or condition is based on an acute experience, not chronic. We do not learn about neither are we taught to understand a chronic condition, or dis-ability.
The experience of a chronic condition needs to be a fundamental part of our understanding of how the medical model may be applied to treating people. Chronic conditions need to be understood in a holistic context, as they affect far more than merely the condition may suggest. Mental health is tied directly into living with a chronic condition. At present, the way in which society addresses chronic conditions is counterproductive. I have lost friends who do not understand chronic and would rather label me a liar than try to understand or even give me the benefit of the doubt as someone who has lived with chronic conditions for 37 years and counting. Thankfully, the vast majority are incredibly supportive, and even if they don’t understand they don’t judge or mistrust me.
I am left confused, hurt and triggered into my clinical depression again. I understand why. I know that needs to change. In the meantime, all I can do is adjust my own way of thinking and hope others do the same.
It’s Blood Cancer Awareness Month in the UK and as someone who has been living with chronic lymphocytic leukaemia (CLL) for over 6 years now, I wanted to write something positive, upbeat and hopeful to help raise awareness. Unfortunately I’ve been struggling with what to write because I value honesty and authenticity in my writing and I’m just not feeling hopeful, upbeat or positive right now.
Covid-19 has directly impacted my CLL, both in living with the condition and with regard to receiving treatment. I was told as long ago as October 2019 that treatment was imminent for me. That means chemotherapy, although there are a variety of medications with which I could be treated so as yet I do not know what type of treatment I will be getting.
You may be thinking that it is a long time since October 2019 and surely I must have some idea of what form the treatment might take. I would have if it had not been for those pesky kids the pandemic.
In January 2020 I had a bone marrow aspiration and biopsy (removal of bone and marrow) to see what was happening (70% CLL in the marrow). This, together with several other symptoms worsening, meant I was scheduled to undergo the initial treatment stages in March 2020. Guess what else happened in March 2020 (a little later than some of us would have wished and medical professionals wanted)?
I was not aware of any of this. I had been told I would be starting treatment “imminently” in October and have heard that word at every appointment since. The lockdown hit, I had to go into full shielding (and I remain there six months later) and everything was put on hold. As soon as we you all started to come out of lockdown in August I was informed by my specialist that my treatment was due to start in March and had been delayed as a direct result of the lockdown. It was determined by a multi-disciplinary medical specialist team that it was safer for me not to have chemotherapy and stay shielding. I’ll let you just sit there with that fact for a moment whilst considering that the pandemic is worsening again.
I had CBT/Psychotherapy during lockdown as a result of the myriad mental health issues this all put me through (and continues to put me through). I was still attending hospital every six weeks for blood tests and review appointments, although the latter became telephone-only appointments very quickly throughout this period. This meant physical symptoms were no longer monitored; my ever-inflating lymph glands, nodes and spleen went unfelt, and other symptoms were not weighed/measured and found wanting.
Hurrah for August during which month I am scheduled for an appointment on 9th September to start treatment – no more blood tests/bone marrow aspirations or biopsies required. I am then referred to the FLAIR trial which has a great reputation and positive results and has only been available for three years. It’s at a different hospital, so I wait for a referral to come through. It arrives, and the date is 23rd September. The letter also confirms it is a telephone-only consultation. It’s a fortnight later than my initial specialist informed me it would be. It’s because the Covid-19 situation is worsening again. It’s because I am very, very vulnerable to infection. It means my chemotherapy may be delayed yet again.
It’s nearly a year since I was told I needed treatment for my cancer. Until I start treatment I have been told by my specialists to stay shielding. I don’t know what is going to happen from today, but I’ve just had to call the new department to which I have been referred because they had an incorrect telephone number for me for the telephone consultation they have booked on 23rd September. It’s a telephone consultation. I don’t think symptoms are going to be monitored at that appointment. My life, literally, is on hold again.
It’s very nearly a year since I was told treatment was imminent, and it remains imminent. I am doing okay to a given value of not, but with regard to the word imminent I would like to say to my specialists…
Well, at least I ended on a joke.
At the moment, I am advised to shield until mid-August because of my specific health condition. Those of us who are shielders are now best advised on the way to move forward by our specialists and healthcare providers. I will have been shielding for a total of five months by that date. I have been able to meet with two friends so far, and only because they had not seen anyone outside their immediate household for a minimum of two weeks.
I am suffering, as are all shielders. Some are now able to open up a bit more, because the more we know about Covid-19 the more the advice can be targeted more accurately to our specific conditions. I am not one of those people who is able to be released.
I feel like I am imprisoned. My depression has been exacerbated resulting in an increase in anti-depressant medication. I now have extreme anxiety to add to this which was not a feature of my mental health before. I have started psychotherapy/CBT dual treatment to try and deal with this new addition, which I have to pay for as there is no access in my area to NHS mental health treatment for at least two years. My level of debt is increasing, as I am furloughed on reduced wages whilst having to meet increased costs in food and other vital expenses.
My fears are not irrational. I look outside and see so many people walking about with no masks on, not socially distancing, and know that they are increasing the length of my imprisonment. I know that they neither know nor care.
I am a person who tries to look on the bright side and have learned techniques to help in this through previous CBT and therapy sessions, undertaken over 15 years ago. My practice of these techniques has been destroyed by the way in which the pandemic has been dealt with by government and by society.
There is no thought, no care, no understanding. Our society is now one of individuals looking inward rather than a social group looking to each other to support, help and uplift. It’s all about how one can best help oneself, with no sense of responsibility or consequence for the actions effecting others. We are a profoundly selfish society now.
I don’t see any end to this. I don’t see a release date. I feel pressured to give advice to work, to family, to friends, in order that they understand my position and that of a small minority of the most vulnerable (because we are vulnerable, that is the right word to use) people. I don’t feel truly understood though. I cannot go outside. I cannot enter any enclosed space. I can’t go to parks because they are full of non-socially distancing people. Even if they aren’t when I go there, I cannot guarantee they won’t become full and if they do, it’s too late for me.
It’s not as simple as finding somewhere that is deserted to go outside. It has to remain deserted for the entire time I am there. I live in the city so this means I can’t go outside. Even driving outside of London to find somewhere has been unsuccessful, even more so since the lockdown eased, or as it seems for most people in their self-absorption, since the lockdown stopped altogether and ‘normality’ resumed.
I have to ask people before I meet them what contact they have had with people within the last two weeks and if they have had any contact at all, I can’t meet with them. It’s not just them I have to have trust in, it’s who they may have met up with, how closely they may have stood to someone in a shop, and I trust my friends implicitly but I do not trust those I don’t know.
The pressure to ‘be normal’ is intense; I am the one who has to advise my workplace on how to make things safe for me, and I know as much as anyone else as to how this can be achieved. I do not know yet how I will travel to work as I cannot use public transport, nor when I will return as we do not know if there will be a second wave nor how safe my area of London will be. I may have to purchase some form of motor transport as my osteoarthritis means I cannot cycle but goodness knows how this will be achieved. Come my next appointment in August, I may know more. I may not. It’s impossible to plan for.
I feel so much guilt about the situation this puts my partner in. He has had to shield with me, although he has also had to go to the local shops for essentials. This is the only outside he has really had, and if I were properly sticking to the rules he would not even be doing this. I can’t subject him to that though; it’s a balance between my physical health and both his and my mental health. This of course compounds my fears.
I am a puddle of guilt, fear, anger and (rarely) hope. I cannot see me leaving the house before 2021 – we have the flu season coming up and this compounded with CLL means my life will be at even greater risk. Maybe if people were still wearing masks and were practicing social distancing and mindfulness of other people I could see a ray of hope. They aren’t, so I don’t.
That is my life as a shielder, to know so many would be fine with my death. That is my life for the foreseeable future, to know a latte, a haircut or a pint is more important that a human life. That is my life and it is out of my control.
I have been very public about when and why I joined the Labour Party and so I feel it is only right to be public about when and why I have left.
I left last Wednesday 24th June, the day before the Rebecca Long-Bailey sacking by Keir Starmer hit the newsstands, so that had nothing to do with my decision.
I had qualms for some time but wanted to give the new leadership a chance to prove himself. I am on the left whereas Labour is now centre-left as opposed to the socialist-leaning principles that Jeremy Corbyn (and the actual Party when it was formed) had. Socialist is still a term used by the Labour Party when describing its formation.
Like every organisation the Labour Party contains within it systemic bigotry. That’s not an accusation, that is a fact. However, as a left-leaning organisation built on the idea of equality and fairness for all, it is the responsibility of the Labour Party to be transparent and proactive in fighting bigotry. The Party is different in that all those who are paid members of the Party have a say in how the party is to be run and what the policies of the party should be.
When I joined in 2015 it was because of Jeremy Corbyn winning the leadership election, but please do not think that means I joined because of personality or fandom. I joined because the Labour Party most represented my belief system and because I wanted a politician who was not all image and soundbites. I joined because of what his political beliefs meant for the party that had slowly drifted so far right it was no longer distinguishable from the Liberal Democrats or the more centrist Conservatives. The Blair years, whilst extremely successful for many, did not do anything for minorities, disabled people, or many of those stuck in poverty, and was a supporter of the Iraq War with along with POTUS George W Bush. He was not my Labour leader.
Corbyn could have been, but ultimately proved unsuccessful for myriad reasons. So, onto Keir Starmer who, whilst more right-leaning than I would wish for, still might have been good.
I was also a member of Disability Labour. I became the Disability Officer of my ward at their request and on the strict condition that it would become a shared post and I would be put in contact with those who identified as disabled within the ward so I could get a better idea of what was needed. That never happened, although I was assured by the secretary the emails were sent (I never received one, which as a disabled member I should have done). I explained what would be needed to ensure a person with disabilities could fulfil the role (minimum of two weeks’ notice of meetings, ample time to read documentation, accessible meeting sites, online access to watch meetings, online voting etc.) but never received any support or assistance nor contact from other disabled members (one of whom is a friend who never received an email) and in the end I resigned. I was asked to remain in name only for a further five months which I agreed to.
Since this time, the position for disabled members has not improved, and the pandemic has thrown that into sharp relief. At the moment Zoom meetings are allowed due to social distancing, which has increased access to so many disabled members, and it felt as if our contributions and requirements are actually being thought of for once. We hoped, we believed, that it may continue after the pandemic ended.
But no, already the National Executive Committee has confirmed that the annual policy decision-making meetings cannot be attended virtually and that voting must be done in person. Leadership elections are held online. Disability Labour will keep fighting for true accessibility, but over my five years of membership I have seen no sign that disabled people are listened to, nor their needs considered.
Further, since the leak of the report into the systemic racism and antisemitism within the Labour Party last April (https://www.huffingtonpost.co.uk/entry/leaked-labour-report-sees-black-voters-quit-party-over-final-straw_uk_5ea70e55c5b6a30004e62cc0), MPs and more particularly the administrative staff employed by the Party, there has been no transparency or discussion about what is going to done about the racism. There has been discussion about an investigation into how the report leaked.
I have written to my MP and to Keir Starmer several times since the report leaked and not received an acknowledgement of my enquiries let alone any form of answer. I no longer expect to receive one; it’s been over two months now and I’m still waiting.
The pandemic has already affected my financial situation. It only costs £5 per month to be a member, but I tend to vote with my money and fund causes I truly believe in. Until the Party properly deals with its ableism, racism and antisemitism in the same way it tries to with homophobia and transphobia, I do not want to provide money to it. I still support the Party and believe my MP, Vicky Foxcroft, is doing a very good job as Shadow Minister for Disabled people, but I cannot give money to a party that treats its own MPs and members of colour, religion and/or disability with such disregard.
The Labour Party talks the talk for the country in general, but if it won’t walk the walk internally I’m not sure I can trust it to do so for the UK.
On the other hand, the Conservative Party is far, far worse. I’d rather have a choice between zenith and nadir, than the choice between the devil and the deep blue sea that we have. I guess I’ll just have to put my swimming costume on and ignore the sewage in the water.
Finally, and a week later than promised (we were originally told the day of 15th June, then week of 15th June), those of us in England who have been shielding for three months were mentioned in the coronavirus update by the UK government. Now we shielders now have a framework to work toward. Let’s break it down (someone stop the music in my head; it’s MC Hammer and I can’t stop this), in alphabetical order and in brief (TL/DR skip to the header “How to help shielders and yourself!”):
6th July – shielders are allowed to meet with a group of six other people in public once a day, with social distancing at 2 metres observed.
31st July – shielding ‘paused’ – no clarity on what this may mean.
1st August – shielders who work can return to their jobs provided it is “Covid-safe” (Matt Hancock direct quote, no instructions or information as to what that actually means nor how to achieve it but I have found a link on the government website so you can alert your employers if relevant).
6th July – can meet with up to six other people in an outdoor space; can meet up outside with one other person outside the home if they are living alone; can form a support bubble with one other household including visiting in home and overnight stays – both households otherwise shielded.
31st July – shielding paused, subject to review.
31st July – shielding to end, subject to review.
16th August – shielding to end, subject to review
How To Help Shielders AND Yourself!
What we need in order to be able to do any of the above is NOT for things to go back to normal for everyone else. In order to be safe in leaving shielding conditions, we need you to:
- Maintain social distancing at 2 metres (6 ½ feet – I’m erring on the side of caution).
- Use face masks at all times when in public areas.
- Wash your hands for 20 seconds, as often as possible and whenever you are returning from a public space.
- Use hand sanitiser whenever you are IN a public place, not just having been to a public space. You are touching surfaces etc. and no-one can tell who a coronavirus carrier may be.
- Don’t gather in large groups, or if you do, let people know you have so shielders can avoid you for at least two weeks.
- If sitting in small groups in a park, try to leave sufficient space for people to walk between you whilst maintaining social distancing. Four metres would be good (approx. twelve to thirteen feet).
- Be aware of your surroundings and people sharing your space. There are 2.2 million of us in the UK and we probably don’t look like we need to be shielded because you can’t tell what a person’s health is by looking at them.
- Be properly informed. This useful photo from the Leukaemia Cares charity’s recent webinar is very helpful in rooting out false/mis-information.
Shielding covers myriad health categories; we are all undertaking our own personal risk assessments which is dependent on many factors such as where we live, our age, our employment, our ability to be outside (city/suburb/rural) as well as our medical conditions. It’s not as simple as just doing what the government says.
We really need you to follow the above eight simple rules for being outside now. If non-shielders remember and act as if there are still people who are extremely vulnerable in the community (because there are) that it will mean the new cases reduce faster and we are ALL as one large community taking care of each other. It means this will all be over sooner.
The acts which help us help you. This is what we need you to do, so, please, do it.
I began shielding on 18th March 2020. On Monday 15th June, the final day of my initial 12 weeks of shielding, I went ‘out out’, as Mickey Flanagan would state (rude language alert in the clip). Only the fourth time since imprisoning myself, and the very first social trip out in three months. My Sooterkin™ and I were trying to find a place outside London where I could get some vitamin D and exercise
We drove through south east London, teeming with non-socially distancing unmasked folks. I played a fun game of spot the mask and spotted 47, 7 of whom were wearing it slung under their chins. I get it, they were walking, risk is minimal. Risk still exists though. My local area, my neighbourhood, remains unsafe for me, so I cannot undertake local walks.
We made it to a park which Sooterkin™ had previously scoped out but the ‘relaxing’ of rules announced by PM Boris Johnson meant that it was heaving packed with so many people the car park was overflowing and people were in very close groups with no social distancing. Again, no masks present.
We tried the Villa nearby, where Sooterkin™ works, but no, the walks were again packed, and people were not wearing masks nor were they socially distancing. AAAARGH!
Luckily Sooterkin™ knew of a nearby walk which is seldom trod as there is a more accessible route nearby. It is still accessible, somewhat, but certainly not to those in wheelchairs or with worse mobility issues than I live with on one of my good days (on a bad day I could not have walked it). I have at last had outside time!
I do not feel safe going outside now, and we have yet to receive updated shielding advice in England, which is due in the week commencing Monday 15th June. However, the easing of the lockdown has made it much less safe for shielding people like me; in my case it is because of my chronic lymphocytic leukaemia so I am very vulnerable to any form of infection. In just that one day, I saw how I should not leave the house in my local area, and that I can only access safe outdoor spaces if by car, so have an environmental impact to consider when deciding whether to brave stepping beyond my front door.
I know many of my fellow shielders feel the same way and have felt forgotten or tacked on as an afterthought throughout official advice and decision-making in this pandemic. The scientific advice is there so why is it taking so long to update advice? Our employers need to know, should we have them. Many are already being told they have to return on 1st July 2020 because that is what the government says we should do. The furlough scheme is to continue until October, but at greatly reduced rates and at the employer’s costs. The fact shielding is guidance and not a rule means employees do not have legal backing if they should face pressure to return; there may be a case for disability discrimination but such cases are incredibly hard and very expensive to fight.
I take all my medical advice with regard to Covid-19 from the Blood Cancer UK website. The only thing the government could say which is relevant to me is the date upon which shielding is to end. We have heard nothing, and there are only 13 days left as at the date of writing for such information to be provided, updated letters to be sent out and employers (if relevant) to be informed. I didn’t receive my initial shielding letter for over a month after shielding started. This does not give me hope.
Shielding is a very broad category which takes no account of environment, type of illness, potential risk within the extremely vulnerable groups, age, employment, whether one has dependents or not, or even the impact one’s lifestyle may have. We’ve all just been told to shield. It’s very difficult to ascertain our personal level of risk, and that’s why I only use the above website to determine my choices.
So what next? I have no idea, and I am terrified, angry and my depression is exacerbated. I don’t think I’m expecting much in wanting the science to be used and a decision to be made. The information is available. UK government, please, I’m begging you to use it. For all shielders’ sakes.
#AllyIsAVerbNotANoun
The United States is seeing rioting and protest at what appears to be an unprecedented scale, with reporters being arrested and blinded whilst being filmed by the US police force whilst bearing witness1 to the actions arising from the lack of justice for Black Americans. This racism is not new but to the privileged has never been so blatant as with the 9-minute video of George Floyd dying under the knee of a nonchalant white officer with history of racial abuse2. This is just the latest atrocity. Indigenous peoples are having their lands further stripped whilst they receive little or no care from the government charged with protecting them3, women are having their reproductive rights stripped away4, transgender people at the highest risk of being victims of violent crime especially if they are of colour5, poverty is endemic and increasing6; I’ll stop there.
The UK too is in crisis. Brexit7, the coronavirus pandemic8, the police are acting with ever increasing force with authorities having learned nothing since our riots in 2011 about the systemic racism within the institution9, Windrush is deporting myriad black people and disenfranchising those not yet deported who have a legal right to stay here10, Grenfell Tower burned and those who didn’t die have yet to be rehomed11 (absolutely would not happen in a richer, whiter neighbourhood), and in many other ways we reflect what is happening in the United States. It feels like something must give and soon.
I am white (and having traced my family history I am so Anglo-Saxon it hurts). I am cisgender. I am in a straight relationship and have identified as heterosexual throughout my life. The assumption I am straight was right in my case. Most of the time I present as able-bodied although am not. I have been educated to degree level. I have the right accent. I’m laden with privilege. I am furious.
So, what can I do? I’ve written about being an ally before, and my view has updated. I called myself an ally and that was a privileged thing to do. To those with privilege over the group requiring supporting and uplifting ally must only be a verb, never a noun. It is a name to be given not taken.
Now more than ever it is important to be an ally. Black people are being murdered on the streets by the authorities, not just murdered by the impact of greater poverty caused by the systemic racism inherent in our societies. Women are being killed in domestic violence incidences at a higher rate since the epidemic began because of lockdown and isolation12, not just because women are property and it’s a family dispute and there are no resources to get away even if society hadn’t decided they were to be economically tied to the breadwinning penis-owner of their household. Disabled people are a forgotten people, or so it feels, yet are statistically more likely to suffer domestic abuse13 and poverty14.
If you are reading this and are completely unable to relate to what I have written, then congratulations! You are stock full of privilege! Now examine that privilege. Don’t just say you agree with equality of opportunity, with caring for the least healthy and most vulnerable members of society, and with loving thy neighbourhood if you don’t back it up with action.
I’m disabled, my activism is mostly armchair based because it’s all I can do. But I still strive to do because being an ally is active, not passive. Do the work, do the research, don’t expect to be taught. It is not the job of the oppressed to be proving the point. It is for the privileged to empathise, understand, listen, learn, and act.
Ally is a verb, not a noun. Remember that.
https://www.abc.net.au/news/2020-05-29/cnn-reporter-arrested-on-air-minneapolis-riots/12302624
- https://blavity.com/i-cannot-breathe-black-man-dies-after-minnesota-cop-seen-kneeling-on-his-neck?category1=news&subCat=Social-Justice
- https://nativegov.org/a-guide-to-indigenous-land-acknowledgment/
https://www.theguardian.com/us-news/2016/sep/22/pipelines-alberta-oil-sands-aboriginal-tribes
- https://statusofwomendata.org/explore-the-data/reproductive-rights/
- USA – https://www.hrc.org/resources/violence-against-the-trans-and-gender-non-conforming-community-in-2020
UK – https://www.stonewall.org.uk/lgbt-britain-hate-crime-and-discrimination
US – https://www.nytimes.com/2020/04/16/upshot/coronavirus-prediction-rise-poverty.html
- The simplest explanation – https://en.wikipedia.org/wiki/Brexit
- https://www.bbc.co.uk/news/coronavirus
- 1998-2010 https://www.theguardian.com/uk/2010/dec/03/deaths-police-custody-officers-convicted
2018 article https://www.theguardian.com/uk-news/2018/jul/25/highest-number-of-people-in-a-decade-die-in-police-custody
- https://www.bbc.co.uk/news/uk-43782241
- https://justice4grenfell.org/
- https://www.refuge.org.uk/25-increase-in-calls-to-national-domestic-abuse-helpline-since-lockdown-measures-began/
- https://www.reducingtherisk.org.uk/cms/content/disability
- https://www.jrf.org.uk/mpse-2015/disability-and-poverty
I am so angry I have tears in my eyes as I write this. I am so frustrated, upset, depressed (my clinical depression is worsening) and I do not see an end to this Covid-19 shielding position I am forced into because I had the ‘luck’ to be diagnosed with a blood cancer six years ago.
I locked down on 18th March 2020. I have been outside three times since, each time to visit the hospital either for a blood test or my six-weekly appointment. In October 2019 I was told that treatment was ‘imminent’ but since then I’ve been in a holding pattern. My life consists of six weekly chunks in which I can make plans but at the moment there are no plans to be made anyway.
At first the shielding was fine; I have two chronic pain conditions which mean I’m often stuck in the flat so I have hobbies I can do from home. With everyone in lockdown it meant at least there was a sense of social empathy, that we were as a community, as a country, coming together to beat something that is hurting and killing indiscriminately.
Not any more though. We are not in this together. Some of us are reliant on the choices made by the health-privileged to survive. The decisions being made by government are for economic reasons, not health reasons. They are choosing profit over people and the money-oriented media is encouraging this. The science shows we are not ready yet to open schools and businesses that are not essential, yet we are being told that 1st June 2020 will be the date the petri-dishes of bacterial and viral transporters that are small children are to return to school. Good luck socially distancing 4 and 5 year old children.
People are out in parks, on beaches, travelling 250 miles on roads to see family (I see you Demonic Cumming*), in shops, passing close by each other, risking passing all manner of infection to each other.
No, we are not in it together.
I’m in the almost certain/catastrophic category.
I see the most extremely vulnerable people in society, of which I am one, terrified about the future. Making decisions to break shielding because what’s the point really? No-one else is taking care, this infection is going to be around forever, and if we do what we need to do to stay healthy, to not be a terrible burden on the NHS, not to die, we will be shielding forever. I do not see me being able to leave the flat and be in company until 2021 and possibly beyond. I live in a city and rely on public transport.
I’ve been thinking seriously about what that might entail. My employer can’t keep my job open forever, and my position involves meeting new clients face-to-face, which I cannot do. I have been thinking about what it would mean to have to go on long-term sick pay. What it would mean to be made redundant. What it would mean to medically retire at my age (under 50-I’ve already checked and could not get the state pension until retirement age anyway). How that would any of this affect my relationship. How it would affect my lifestyle. How that would affect our ability to feed, clothe and home ourselves. I’m the main income earner (by choice and after discussion, my Sooterkin™ and I have an equal partnership) in a job I love that I have been unable to do fully since I entered lockdown. Would he be better off without me? At the moment, I am thinking yes.
All this because no, we are not in it together. Some of us are in it more. Some of us rely on you to make good choices, including the government.
Some of us know those choices mean that we are considered collateral damage, and that hurts. I am a person people would choose to die so that they can get on with their lives, their socialising and their jobs with no further thought.
I wish I lived in New Zealand. Sometimes I wish I wasn’t alive. Then I would not have to deal with the loss of my hope that I have worked on forever. I would not have to deal with the destruction of my believe in the innate goodness of the majority of people to care.
Because I don’t believe it any more. Because we are not all in this together. And it hurts.
*Dominic Cummings, unelected advisor to the PM and Cabinet
